| NPI | 1790712917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD055129L) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD055129L) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2010-01-22 |